Individual
FREDDIE BOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12688 MAIN ST, WILLISTON, SC 29853-2706
(803) 507-1890
Mailing address
12688 MAIN ST, WILLISTON, SC 29853-2706
(803) 507-1890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10330
SC
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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